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  <id value="TRE-R38-SpecialiteOrdinale"/>
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    <versionId value="7"/>
    <lastUpdated value="2025-07-02T18:18:02.679+00:00"/>
    <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"/>
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    <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Narratif généré : CodeSystem TRE-R38-SpecialiteOrdinale</b></p><a name="TRE-R38-SpecialiteOrdinale"> </a><a name="hcTRE-R38-SpecialiteOrdinale"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">version: 6; Dernière mise à jour : 2024-08-28 05:13:49+0000</p><p style="margin-bottom: 0px">Profil: <a href="http://hl7.org/fhir/R4/shareablecodesystem.html">Shareable CodeSystem</a></p></div><p><b>Propriétés</b></p><p><b>Cette terminologie de référence (CodeSystem) définit les propriétés suivantes pour ses concepts</b></p><table class="grid"><tr><td><b>Nom</b></td><td><b>Code</b></td><td><b>Type</b></td><td><b>Description</b></td></tr><tr><td>dateValid</td><td>dateValid</td><td>dateTime</td><td>date de validité d'un code concept</td></tr><tr><td>dateMaj</td><td>dateMaj</td><td>dateTime</td><td>Date de mise à jour d'un code concept</td></tr><tr><td>dateFin</td><td>dateFin</td><td>dateTime</td><td>Date de fin d'exploitation d'un code concept</td></tr></table><p><b>Concepts</b></p><p>This case-insensitive code system <code>https://mos.esante.gouv.fr/NOS/TRE_R38-SpecialiteOrdinale/FHIR/TRE-R38-SpecialiteOrdinale</code> defines the following codes:</p><table class="codes"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Définition</b></td><td><b>dateValid</b></td><td><b>dateMaj</b></td><td><b>dateFin</b></td><td><b>French (France) (fr)</b></td></tr><tr><td style="white-space:nowrap">SCD01<a name="TRE-R38-SpecialiteOrdinale-SCD01"> </a></td><td>Orthopédie dento-faciale (SCD)</td><td/><td>2007-07-26T00:00:00+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td>Orthopédie dento-faciale</td></tr><tr><td style="white-space:nowrap">SCD02<a name="TRE-R38-SpecialiteOrdinale-SCD02"> </a></td><td>Chirurgie orale (SCD)</td><td/><td>2012-03-19T00:00:00+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td>Chirurgie orale</td></tr><tr><td style="white-space:nowrap">SCD03<a name="TRE-R38-SpecialiteOrdinale-SCD03"> </a></td><td>Médecine bucco-dentaire (SCD)</td><td/><td>2012-03-19T00:00:00+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td>Médecine bucco-dentaire</td></tr><tr><td style="white-space:nowrap">SI01<a name="TRE-R38-SpecialiteOrdinale-SI01"> </a></td><td>Exercice infirmier en pratique avancée pathologies chroniques stabilisées (SI)</td><td>Exercice infirmier autorisé en pratique avancée pour les pathologies chroniques stabilisées.  La notion de spécialité ordinale a été introduite sachant qu'il est nécessaire de distinguer l'exercice d'IPA de celui d'infirmier et que le diplôme ne suffit  pas pour autoriser l'exercice d'IPA. Il faut 3 ans de pratique infirmière pour pouvoir exercer comme IPA; mais le cursus d'IPA peut être accessible dans le prolongement du DE d'infirmier.  Un IPA peut exercer des activités d'IPA dans plusieurs spécialités, mais aussi, plus fréquemment cumuler des activités d'IPA et d'activité d'infirmier polyvalent du niveau du DE Infirmier.</td><td>2019-10-25T12:00:00+01:00</td><td>2020-03-30T12:00:00+01:00</td><td/><td>IPA pathologies chroniques</td></tr><tr><td style="white-space:nowrap">SI02<a name="TRE-R38-SpecialiteOrdinale-SI02"> </a></td><td>Exercice infirmier en pratique avancée oncologie et hémato-oncologie (SI)</td><td>Exercice infirmier autorisé en pratique avancée en oncologie et hémato-oncologie  La notion de spécialité ordinale a été introduite sachant qu'il est nécessaire de distinguer l'exercice d'IPA de celui d'infirmier et que le diplôme ne suffit  pas pour autoriser l'exercice d'IPA. Il faut 3 ans de pratique infirmière pour pouvoir exercer comme IPA; mais le cursus d'IPA peut être accessible dans le prolongement du DE d'infirmier.  Un IPA peut exercer des activités d'IPA dans plusieurs spécialités, mais aussi, plus fréquemment cumuler des activités d'IPA et d'activité d'infirmier polyvalent du niveau du DE Infirmier.</td><td>2019-10-25T12:00:00+01:00</td><td>2020-03-30T12:00:00+01:00</td><td/><td>IPA oncologie</td></tr><tr><td style="white-space:nowrap">SI03<a name="TRE-R38-SpecialiteOrdinale-SI03"> </a></td><td>Exercice infirmier en pratique avancée maladie rénale chronique (SI)</td><td>Exercice infirmier autorisé en pratique avancée en maladie rénale. chronique, dialyse et transplantation rénale. La notion de spécialité ordinale a été introduite sachant qu'il est nécessaire de distinguer l'exercice d'IPA de celui d'infirmier et que le diplôme ne suffit  pas pour autoriser l'exercice d'IPA. Il faut 3 ans de pratique infirmière pour pouvoir exercer comme IPA; mais le cursus d'IPA peut être accessible dans le prolongement du DE d'infirmier.  Un IPA peut exercer des activités d'IPA dans plusieurs spécialités, mais aussi, plus fréquemment cumuler des activités d'IPA et d'activité d'infirmier polyvalent du niveau du DE Infirmier.</td><td>2019-10-25T12:00:00+01:00</td><td>2020-03-30T12:00:00+01:00</td><td/><td>IPA maladie rénale</td></tr><tr><td style="white-space:nowrap">SI04<a name="TRE-R38-SpecialiteOrdinale-SI04"> </a></td><td>Exercice infirmier en pratique avancée santé mentale (SI)</td><td>Exercice infirmier autorisé en pratique avancée en santé mentale. La notion de spécialité ordinale a été introduite sachant qu'il est nécessaire de distinguer l'exercice d'IPA de celui d'infirmier et que le diplôme ne suffit  pas pour autoriser l'exercice d'IPA. Il faut 3 ans de pratique infirmière pour pouvoir exercer comme IPA; mais le cursus d'IPA peut être accessible dans le prolongement du DE d'infirmier.  Un IPA peut exercer des activités d'IPA dans plusieurs spécialités, mais aussi, plus fréquemment cumuler des activités d'IPA et d'activité d'infirmier polyvalent du niveau du DE Infirmier.</td><td>2019-10-25T12:00:00+01:00</td><td>2020-03-30T12:00:00+01:00</td><td/><td>IPA santé mentale</td></tr><tr><td style="white-space:nowrap">SI05<a name="TRE-R38-SpecialiteOrdinale-SI05"> </a></td><td>Exercice infirmier en pratique avancée urgences (SI)</td><td>Le décret n°2021-1384 du 25 octobre 2021 relatif à l'exercice en pratique avancée de la profession d'infirmiers (IPA) dans le domaine d'intervention des urgences a inscrit les « urgences » comme nouveau domaine d'intervention de l'infirmier en pratique avancé. C'est le 5e domaine d'exercice des IPA ainsi acté (après pathologies chroniques stabilisées ; oncologie et hémato-oncologie ; maladie rénale chronique, dialyse et transplantation rénale ; santé mentale).</td><td>2022-08-26T12:00:00+01:00</td><td>2023-10-30T12:00:00+01:00</td><td/><td>IPA urgences</td></tr><tr><td style="white-space:nowrap">SM01<a name="TRE-R38-SpecialiteOrdinale-SM01"> </a></td><td>Anatomie et Cytologie pathologiques (SM)</td><td/><td>2007-07-26T16:49:16+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td>Anatomie, Cyto pathologiques</td></tr><tr><td style="white-space:nowrap">SM02<a name="TRE-R38-SpecialiteOrdinale-SM02"> </a></td><td>Anesthésie-réanimation (SM)</td><td/><td>2007-07-26T16:49:16+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td>Anesthésie-réanimation</td></tr><tr><td style="white-space:nowrap">SM03<a name="TRE-R38-SpecialiteOrdinale-SM03"> </a></td><td>Biologie médicale (SM)</td><td/><td>2007-07-26T16:49:16+01:00</td><td>2015-12-28T00:00:00+01:00</td><td/><td>Biologie médicale</td></tr><tr><td style="white-space:nowrap">SM04<a name="TRE-R38-SpecialiteOrdinale-SM04"> </a></td><td>Cardiologie et Maladies vasculaires (SM)</td><td/><td>2007-07-26T16:49:16+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td>Cardio et Maladies vasculaires</td></tr><tr><td style="white-space:nowrap">SM05<a name="TRE-R38-SpecialiteOrdinale-SM05"> </a></td><td>Chirurgie générale (SM)</td><td/><td>2007-07-26T16:49:16+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td>Chirurgie générale</td></tr><tr><td style="white-space:nowrap">SM06<a name="TRE-R38-SpecialiteOrdinale-SM06"> </a></td><td>Chirurgie maxillo-faciale (SM)</td><td/><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td/><td>Chir maxillo-faciale</td></tr><tr><td style="white-space:nowrap">SM07<a name="TRE-R38-SpecialiteOrdinale-SM07"> </a></td><td>Chirurgie maxillo-faciale et Stomatologie (SM)</td><td/><td>2007-07-26T16:49:16+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td>Chir maxillo-fac, Stomatologie</td></tr><tr><td style="white-space:nowrap">SM08<a name="TRE-R38-SpecialiteOrdinale-SM08"> </a></td><td>Chirurgie orthopédique et Traumatologie (SM)</td><td/><td>2007-07-26T16:49:16+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td>Chir orthop, Traumatologie</td></tr><tr><td style="white-space:nowrap">SM09<a name="TRE-R38-SpecialiteOrdinale-SM09"> </a></td><td>Chirurgie infantile (SM)</td><td/><td>2007-07-26T16:49:16+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td>Chirurgie infantile</td></tr><tr><td style="white-space:nowrap">SM10<a name="TRE-R38-SpecialiteOrdinale-SM10"> </a></td><td>Chirurgie plastique reconstructrice et esthétique (SM)</td><td/><td>2007-07-26T16:49:16+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td>Chir plast reconstr, esthétiq</td></tr><tr><td style="white-space:nowrap">SM11<a name="TRE-R38-SpecialiteOrdinale-SM11"> </a></td><td>Chirurgie thoracique et cardio-vasculaire (SM)</td><td/><td>2007-07-26T16:49:16+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td>Chir thoraciq, cardio-vascul</td></tr><tr><td style="white-space:nowrap">SM12<a name="TRE-R38-SpecialiteOrdinale-SM12"> </a></td><td>Chirurgie urologique (SM)</td><td/><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td/><td>Chir urologique</td></tr><tr><td style="white-space:nowrap">SM13<a name="TRE-R38-SpecialiteOrdinale-SM13"> </a></td><td>Chirurgie vasculaire (SM)</td><td/><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td/><td>Chir vasculaire</td></tr><tr><td style="white-space:nowrap">SM14<a name="TRE-R38-SpecialiteOrdinale-SM14"> </a></td><td>Chirurgie viscérale et digestive (SM)</td><td/><td>2007-07-26T16:49:16+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td>Chir viscérale, digestive</td></tr><tr><td style="white-space:nowrap">SM15<a name="TRE-R38-SpecialiteOrdinale-SM15"> </a></td><td>Dermatologie et Vénéréologie (SM)</td><td/><td>2007-07-26T16:49:16+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td>Dermatologie, Vénéréologie</td></tr><tr><td style="white-space:nowrap">SM16<a name="TRE-R38-SpecialiteOrdinale-SM16"> </a></td><td>Endocrinologie et Métabolisme (SM)</td><td/><td>2007-07-26T16:49:16+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td>Endocrinologie, Métabolisme</td></tr><tr><td style="white-space:nowrap">SM17<a name="TRE-R38-SpecialiteOrdinale-SM17"> </a></td><td>Génétique médicale (SM)</td><td/><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td/><td>Génétique médicale</td></tr><tr><td style="white-space:nowrap">SM18<a name="TRE-R38-SpecialiteOrdinale-SM18"> </a></td><td>Gériatrie (SM)</td><td/><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td/><td>Gériatrie</td></tr><tr><td style="white-space:nowrap">SM19<a name="TRE-R38-SpecialiteOrdinale-SM19"> </a></td><td>Gynécologie médicale (SM)</td><td/><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td/><td>Gynécologie médicale</td></tr><tr><td style="white-space:nowrap">SM20<a name="TRE-R38-SpecialiteOrdinale-SM20"> </a></td><td>Gynécologie-obstétrique (SM)</td><td/><td>2007-07-26T16:49:16+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td>Gynécologie-obstétrique</td></tr><tr><td style="white-space:nowrap">SM21<a name="TRE-R38-SpecialiteOrdinale-SM21"> </a></td><td>Hématologie (SM)</td><td/><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td/><td>Hématologie</td></tr><tr><td style="white-space:nowrap">SM22<a name="TRE-R38-SpecialiteOrdinale-SM22"> </a></td><td>Hématologie, option Maladie du sang (SM)</td><td/><td>2007-07-26T16:49:16+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td>Hématologie, opt Maladie sang</td></tr><tr><td style="white-space:nowrap">SM23<a name="TRE-R38-SpecialiteOrdinale-SM23"> </a></td><td>Hématologie, option Onco-hématologie (SM)</td><td/><td>2007-07-26T16:49:16+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td>Hématologie, opt Onco-hématol</td></tr><tr><td style="white-space:nowrap">SM24<a name="TRE-R38-SpecialiteOrdinale-SM24"> </a></td><td>Gastro-entérologie et Hépatologie (SM)</td><td/><td>2007-07-26T16:49:16+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td>Gastro-entéro, Hépatologie</td></tr><tr><td style="white-space:nowrap">SM25<a name="TRE-R38-SpecialiteOrdinale-SM25"> </a></td><td>Médecine du travail (SM)</td><td/><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td/><td>Médecine du travail</td></tr><tr><td style="white-space:nowrap">SM26<a name="TRE-R38-SpecialiteOrdinale-SM26"> </a></td><td>Qualifié en Médecine générale (SM)</td><td/><td>2007-07-26T16:49:16+01:00</td><td>2008-10-08T00:00:00+01:00</td><td/><td>Qualifié MG</td></tr><tr><td style="white-space:nowrap">SM27<a name="TRE-R38-SpecialiteOrdinale-SM27"> </a></td><td>Médecine interne (SM)</td><td/><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td/><td>Médecine interne</td></tr><tr><td style="white-space:nowrap">SM28<a name="TRE-R38-SpecialiteOrdinale-SM28"> </a></td><td>Médecine nucléaire (SM)</td><td/><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td/><td>Médecine nucléaire</td></tr><tr><td style="white-space:nowrap">SM29<a name="TRE-R38-SpecialiteOrdinale-SM29"> </a></td><td>Médecine physique et de réadaptation (SM)</td><td/><td>2007-07-26T16:49:16+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td>Médecine physique, réadapt</td></tr><tr><td style="white-space:nowrap">SM30<a name="TRE-R38-SpecialiteOrdinale-SM30"> </a></td><td>Néphrologie (SM)</td><td/><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td/><td>Néphrologie</td></tr><tr><td style="white-space:nowrap">SM31<a name="TRE-R38-SpecialiteOrdinale-SM31"> </a></td><td>Neuro-chirurgie (SM)</td><td/><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td/><td>Neuro-chirurgie</td></tr><tr><td style="white-space:nowrap">SM32<a name="TRE-R38-SpecialiteOrdinale-SM32"> </a></td><td>Neurologie (SM)</td><td/><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td/><td>Neurologie</td></tr><tr><td style="white-space:nowrap">SM33<a name="TRE-R38-SpecialiteOrdinale-SM33"> </a></td><td>Neuro-psychiatrie (SM)</td><td/><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td/><td>Neuro-psychiatrie</td></tr><tr><td style="white-space:nowrap">SM34<a name="TRE-R38-SpecialiteOrdinale-SM34"> </a></td><td>ORL et Chirurgie cervico-faciale (SM)</td><td/><td>2007-07-26T16:49:16+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td>ORL, Chir cervico-faciale</td></tr><tr><td style="white-space:nowrap">SM35<a name="TRE-R38-SpecialiteOrdinale-SM35"> </a></td><td>Oncologie, option Onco-hématologie (SM)</td><td/><td>2007-07-26T16:49:16+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td>Oncologie, opt Onco-hématolog</td></tr><tr><td style="white-space:nowrap">SM36<a name="TRE-R38-SpecialiteOrdinale-SM36"> </a></td><td>Oncologie, option médicale (SM)</td><td/><td>2007-07-26T16:49:16+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td>Oncologie, opt médicale</td></tr><tr><td style="white-space:nowrap">SM37<a name="TRE-R38-SpecialiteOrdinale-SM37"> </a></td><td>Oncologie, option radiothérapie (SM)</td><td/><td>2007-07-26T16:49:16+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td>Oncologie, opt radiothérapie</td></tr><tr><td style="white-space:nowrap">SM38<a name="TRE-R38-SpecialiteOrdinale-SM38"> </a></td><td>Ophtalmologie (SM)</td><td/><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td/><td>Ophtalmologie</td></tr><tr><td style="white-space:nowrap">SM39<a name="TRE-R38-SpecialiteOrdinale-SM39"> </a></td><td>Oto-rhino-laryngologie (SM)</td><td/><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td/><td>ORL</td></tr><tr><td style="white-space:nowrap">SM40<a name="TRE-R38-SpecialiteOrdinale-SM40"> </a></td><td>Pédiatrie (SM)</td><td/><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td/><td>Pédiatrie</td></tr><tr><td style="white-space:nowrap">SM41<a name="TRE-R38-SpecialiteOrdinale-SM41"> </a></td><td>Pneumologie (SM)</td><td/><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td/><td>Pneumologie</td></tr><tr><td style="white-space:nowrap">SM42<a name="TRE-R38-SpecialiteOrdinale-SM42"> </a></td><td>Psychiatrie (SM)</td><td/><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td/><td>Psychiatrie</td></tr><tr><td style="white-space:nowrap">SM43<a name="TRE-R38-SpecialiteOrdinale-SM43"> </a></td><td>Psychiatrie, option enfant et adolescent (SM)</td><td/><td>2007-07-26T16:49:16+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td>Psychiatrie, opt enfant et ado</td></tr><tr><td style="white-space:nowrap">SM44<a name="TRE-R38-SpecialiteOrdinale-SM44"> </a></td><td>Radio-diagnostic (SM)</td><td/><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td/><td>Radio-diagnostic</td></tr><tr><td style="white-space:nowrap">SM45<a name="TRE-R38-SpecialiteOrdinale-SM45"> </a></td><td>Radio-thérapie (SM)</td><td/><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td/><td>Radio-thérapie</td></tr><tr><td style="white-space:nowrap">SM46<a name="TRE-R38-SpecialiteOrdinale-SM46"> </a></td><td>Médecine intensive-réanimation (SM)</td><td/><td>2007-07-26T16:49:16+01:00</td><td>2018-01-26T12:00:00+01:00</td><td/><td>Médecine intensive-réanimation</td></tr><tr><td style="white-space:nowrap">SM47<a name="TRE-R38-SpecialiteOrdinale-SM47"> </a></td><td>Recherche médicale (SM)</td><td/><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td/><td>Recherche médicale</td></tr><tr><td style="white-space:nowrap">SM48<a name="TRE-R38-SpecialiteOrdinale-SM48"> </a></td><td>Rhumatologie (SM)</td><td/><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td/><td>Rhumatologie</td></tr><tr><td style="white-space:nowrap">SM49<a name="TRE-R38-SpecialiteOrdinale-SM49"> </a></td><td>Santé publique et Médecine sociale (SM)</td><td/><td>2007-07-26T16:49:16+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td>Santé publique, Méd sociale</td></tr><tr><td style="white-space:nowrap">SM50<a name="TRE-R38-SpecialiteOrdinale-SM50"> </a></td><td>Stomatologie (SM)</td><td/><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td/><td>Stomatologie</td></tr><tr><td style="white-space:nowrap">SM51<a name="TRE-R38-SpecialiteOrdinale-SM51"> </a></td><td>Gynéco-obstétrique et Gynéco-médicale, option Gynéco-obstétrique (SM)</td><td/><td>2007-07-26T16:49:16+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td>Gyn-obs, Gyn-méd, opt Gyn-obs</td></tr><tr><td style="white-space:nowrap">SM52<a name="TRE-R38-SpecialiteOrdinale-SM52"> </a></td><td>Gynéco-obstétrique et Gynéco-médicale, option Gynéco-médicale (SM)</td><td/><td>2007-07-26T16:49:16+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td>Gyn-obs, Gyn-méd, opt Gyn-méd</td></tr><tr><td style="white-space:nowrap">SM53<a name="TRE-R38-SpecialiteOrdinale-SM53"> </a></td><td>Spécialiste en Médecine générale (SM)</td><td/><td>2007-07-26T00:00:00+01:00</td><td>2008-10-08T00:00:00+01:00</td><td/><td>Spécialiste MG</td></tr><tr><td style="white-space:nowrap">SM54<a name="TRE-R38-SpecialiteOrdinale-SM54"> </a></td><td>Médecine générale (SM)</td><td/><td>2008-06-16T00:00:00+01:00</td><td>2008-10-08T00:00:00+01:00</td><td/><td>Médecine générale</td></tr><tr><td style="white-space:nowrap">SM55<a name="TRE-R38-SpecialiteOrdinale-SM55"> </a></td><td>Radio-diagnostic et Radio-thérapie (SM)</td><td/><td>2008-10-08T00:00:00+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td>Radio-diag, Radio-thérapie</td></tr><tr><td style="white-space:nowrap">SM56<a name="TRE-R38-SpecialiteOrdinale-SM56"> </a></td><td>Chirurgie orale (SM)</td><td/><td>2016-04-28T00:00:00+01:00</td><td>2016-04-28T00:00:00+01:00</td><td/><td>Chirurgie orale</td></tr><tr><td style="white-space:nowrap">SM57<a name="TRE-R38-SpecialiteOrdinale-SM57"> </a></td><td>Allergologie (SM)</td><td/><td>2018-03-30T12:00:00+01:00</td><td>2018-03-30T12:00:00+01:00</td><td/><td>Allergologie</td></tr><tr><td style="white-space:nowrap">SM58<a name="TRE-R38-SpecialiteOrdinale-SM58"> </a></td><td>Maladies infectieuses et tropicales (SM)</td><td/><td>2018-03-30T12:00:00+01:00</td><td>2018-03-30T12:00:00+01:00</td><td/><td>Maladies infect. et tropicales</td></tr><tr><td style="white-space:nowrap">SM59<a name="TRE-R38-SpecialiteOrdinale-SM59"> </a></td><td>Médecine d'urgence (SM)</td><td/><td>2018-03-30T12:00:00+01:00</td><td>2018-03-30T12:00:00+01:00</td><td/><td>Médecine d'urgence</td></tr><tr><td style="white-space:nowrap">SM60<a name="TRE-R38-SpecialiteOrdinale-SM60"> </a></td><td>Médecine légale et expertises médicales (SM)</td><td/><td>2018-03-30T12:00:00+01:00</td><td>2018-03-30T12:00:00+01:00</td><td/><td>Médecine légale &amp; expert. méd.</td></tr><tr><td style="white-space:nowrap">SM61<a name="TRE-R38-SpecialiteOrdinale-SM61"> </a></td><td>Médecine vasculaire (SM)</td><td/><td>2018-03-30T12:00:00+01:00</td><td>2018-03-30T12:00:00+01:00</td><td/><td>Médecine vasculaire</td></tr><tr><td style="white-space:nowrap">SM62<a name="TRE-R38-SpecialiteOrdinale-SM62"> </a></td><td>Endocrinologie, diabétologie, nutrition (SM)</td><td/><td>2018-09-28T12:00:00+01:00</td><td>2019-04-26T12:00:00+01:00</td><td/><td>Endocrino-diabéto-nutrition</td></tr><tr><td style="white-space:nowrap">SM63<a name="TRE-R38-SpecialiteOrdinale-SM63"> </a></td><td>Biologie médicale option biologie générale (SM)</td><td/><td>2019-02-22T12:00:00+01:00</td><td>2019-02-22T12:00:00+01:00</td><td/><td>Bio méd opt biologie générale</td></tr><tr><td style="white-space:nowrap">SM64<a name="TRE-R38-SpecialiteOrdinale-SM64"> </a></td><td>Biologie médicale option médecine moléculaire, génétique et pharmacologie (SM)</td><td/><td>2019-02-22T12:00:00+01:00</td><td>2019-02-22T12:00:00+01:00</td><td/><td>Bio méd opt méd molé géné phar</td></tr><tr><td style="white-space:nowrap">SM65<a name="TRE-R38-SpecialiteOrdinale-SM65"> </a></td><td>Biologie médicale option hématologie et immunologie (SM)</td><td/><td>2019-02-22T12:00:00+01:00</td><td>2019-02-22T12:00:00+01:00</td><td/><td>Bio méd opt hémato et immuno</td></tr><tr><td style="white-space:nowrap">SM66<a name="TRE-R38-SpecialiteOrdinale-SM66"> </a></td><td>Biologie médicale option agents infectieux (SM)</td><td/><td>2019-02-22T12:00:00+01:00</td><td>2019-02-22T12:00:00+01:00</td><td/><td>Bio méd opt agents infectieux</td></tr><tr><td style="white-space:nowrap">SM67<a name="TRE-R38-SpecialiteOrdinale-SM67"> </a></td><td>Biologie médicale option biologie de la reproduction (SM)</td><td/><td>2019-02-22T12:00:00+01:00</td><td>2019-02-22T12:00:00+01:00</td><td/><td>Bio méd opt bio reproduction</td></tr><tr><td style="white-space:nowrap">SM68<a name="TRE-R38-SpecialiteOrdinale-SM68"> </a></td><td>Chirurgie maxillo-faciale (réforme 2017) (SM)</td><td/><td>2019-02-22T12:00:00+01:00</td><td>2019-02-22T12:00:00+01:00</td><td/><td>Chir maxillo-faciale (2017)</td></tr><tr><td style="white-space:nowrap">SM69<a name="TRE-R38-SpecialiteOrdinale-SM69"> </a></td><td>Chirurgie pédiatrique option chirurgie viscérale pédiatrique (SM)</td><td/><td>2019-02-22T12:00:00+01:00</td><td>2019-02-22T12:00:00+01:00</td><td/><td>Chir pédia opt chir visc pédia</td></tr><tr><td style="white-space:nowrap">SM70<a name="TRE-R38-SpecialiteOrdinale-SM70"> </a></td><td>Chirurgie pédiatrique option orthopédie pédiatrique (SM)</td><td/><td>2019-02-22T12:00:00+01:00</td><td>2019-02-22T12:00:00+01:00</td><td/><td>Chir pédia opt orthopéd pédia</td></tr><tr><td style="white-space:nowrap">SM71<a name="TRE-R38-SpecialiteOrdinale-SM71"> </a></td><td>Hématologie (réforme 2017) (SM)</td><td/><td>2019-02-22T12:00:00+01:00</td><td>2019-02-22T12:00:00+01:00</td><td/><td>Hématologie (2017)</td></tr><tr><td style="white-space:nowrap">SM72<a name="TRE-R38-SpecialiteOrdinale-SM72"> </a></td><td>Médecine interne et immunologie clinique (SM)</td><td/><td>2019-02-22T12:00:00+01:00</td><td>2019-02-22T12:00:00+01:00</td><td/><td>Méd interne et immuno clinique</td></tr><tr><td style="white-space:nowrap">SM73<a name="TRE-R38-SpecialiteOrdinale-SM73"> </a></td><td>Médecine cardiovasculaire (SM)</td><td/><td>2023-10-30T12:00:00+01:00</td><td>2023-10-30T12:00:00+01:00</td><td/><td>Médecine cardiovasculaire</td></tr><tr><td style="white-space:nowrap">SM74<a name="TRE-R38-SpecialiteOrdinale-SM74"> </a></td><td>Radiologie imagerie médicale (SM)</td><td/><td>2023-10-30T12:00:00+01:00</td><td>2024-05-31T12:00:00+01:00</td><td/><td>Radiologie &amp; imagerie médicale</td></tr><tr><td style="white-space:nowrap">SM75<a name="TRE-R38-SpecialiteOrdinale-SM75"> </a></td><td>Santé publique (SM)</td><td/><td>2023-10-30T12:00:00+01:00</td><td>2023-10-30T12:00:00+01:00</td><td/><td>Santé publique</td></tr><tr><td style="white-space:nowrap">SM76<a name="TRE-R38-SpecialiteOrdinale-SM76"> </a></td><td>Anesthésie-réanimation opt anesthésie-pédiatrique (SM)</td><td/><td>2023-10-30T12:00:00+01:00</td><td>2024-05-31T12:00:00+01:00</td><td/><td>Anesth-réanim opt anesth-pédia</td></tr><tr><td style="white-space:nowrap">SM77<a name="TRE-R38-SpecialiteOrdinale-SM77"> </a></td><td>Chirurgie maxillo-faciale opt orthod dysmo max-fac (SM)</td><td/><td>2023-10-30T12:00:00+01:00</td><td>2024-05-31T12:00:00+01:00</td><td/><td>Chir max-fac opt orthod dysmo</td></tr><tr><td style="white-space:nowrap">SM78<a name="TRE-R38-SpecialiteOrdinale-SM78"> </a></td><td>Chirurgie viscérale et digestive opt endo chir (SM)</td><td/><td>2023-10-30T12:00:00+01:00</td><td>2024-05-31T12:00:00+01:00</td><td/><td>Chir visc &amp; dig opt endos chir</td></tr><tr><td style="white-space:nowrap">SM79<a name="TRE-R38-SpecialiteOrdinale-SM79"> </a></td><td>Méd cardiovasculaire opt card interventionnelle (SM)</td><td/><td>2023-10-30T12:00:00+01:00</td><td>2024-05-31T12:00:00+01:00</td><td/><td>Méd cardio opt cardio interv</td></tr><tr><td style="white-space:nowrap">SM80<a name="TRE-R38-SpecialiteOrdinale-SM80"> </a></td><td>Méd cardiovasculaire opt imagerie cardio d'expert (SM)</td><td/><td>2023-10-30T12:00:00+01:00</td><td>2024-05-31T12:00:00+01:00</td><td/><td>Méd cardio opt img cardio exp</td></tr><tr><td style="white-space:nowrap">SM81<a name="TRE-R38-SpecialiteOrdinale-SM81"> </a></td><td>Méd cardiovasculaire opt rythmo inter stimu card (SM)</td><td/><td>2023-10-30T12:00:00+01:00</td><td>2024-05-31T12:00:00+01:00</td><td/><td>Méd cardio opt ryth int &amp; stim</td></tr><tr><td style="white-space:nowrap">SM82<a name="TRE-R38-SpecialiteOrdinale-SM82"> </a></td><td>Médecine intensive-réanimation opt réa pédiatrique (SM)</td><td/><td>2023-10-30T12:00:00+01:00</td><td>2024-05-31T12:00:00+01:00</td><td/><td>Méd intens opt réa pédiatrique</td></tr><tr><td style="white-space:nowrap">SM83<a name="TRE-R38-SpecialiteOrdinale-SM83"> </a></td><td>Néphrologie option soins intensifs néphrologiques (SM)</td><td/><td>2023-10-30T12:00:00+01:00</td><td>2024-05-31T12:00:00+01:00</td><td/><td>Néphro opt soins intens néphro</td></tr><tr><td style="white-space:nowrap">SM84<a name="TRE-R38-SpecialiteOrdinale-SM84"> </a></td><td>Neurologie opt trait interv ischémie céréb aigüe (SM)</td><td/><td>2023-10-30T12:00:00+01:00</td><td>2024-05-31T12:00:00+01:00</td><td/><td>Neuro opt trait ischémie céréb</td></tr><tr><td style="white-space:nowrap">SM85<a name="TRE-R38-SpecialiteOrdinale-SM85"> </a></td><td>Ophtalmologie opt chir ophtalmopéd strabologique (SM)</td><td/><td>2023-10-30T12:00:00+01:00</td><td>2024-05-31T12:00:00+01:00</td><td/><td>Ophtalmo opt chir péd &amp; strabo</td></tr><tr><td style="white-space:nowrap">SM86<a name="TRE-R38-SpecialiteOrdinale-SM86"> </a></td><td>ORL - chir cervico-faciale opt audiophonologie (SM)</td><td/><td>2023-10-30T12:00:00+01:00</td><td>2024-05-31T12:00:00+01:00</td><td/><td>ORL &amp; chir c-f opt audiophono</td></tr><tr><td style="white-space:nowrap">SM87<a name="TRE-R38-SpecialiteOrdinale-SM87"> </a></td><td>Pédiatrie option néonatologie (SM)</td><td/><td>2023-10-30T12:00:00+01:00</td><td>2024-05-31T12:00:00+01:00</td><td/><td>Pédiatrie opt néonatologie</td></tr><tr><td style="white-space:nowrap">SM88<a name="TRE-R38-SpecialiteOrdinale-SM88"> </a></td><td>Pédiatrie option neuropédiatrie (SM)</td><td/><td>2023-10-30T12:00:00+01:00</td><td>2024-05-31T12:00:00+01:00</td><td/><td>Pédiatrie opt neuropédiatrie</td></tr><tr><td style="white-space:nowrap">SM89<a name="TRE-R38-SpecialiteOrdinale-SM89"> </a></td><td>Pédiatrie option pneumopédiatrie (SM)</td><td/><td>2023-10-30T12:00:00+01:00</td><td>2024-05-31T12:00:00+01:00</td><td/><td>Pédiatrie opt pneumopédiatrie</td></tr><tr><td style="white-space:nowrap">SM90<a name="TRE-R38-SpecialiteOrdinale-SM90"> </a></td><td>Pédiatrie option réanimation pédiatrique (SM)</td><td/><td>2023-10-30T12:00:00+01:00</td><td>2024-05-31T12:00:00+01:00</td><td/><td>Pédiatrie opt réa pédiatrique</td></tr><tr><td style="white-space:nowrap">SM91<a name="TRE-R38-SpecialiteOrdinale-SM91"> </a></td><td>Pneumologie option soins intensifs respiratoires (SM)</td><td/><td>2023-10-30T12:00:00+01:00</td><td>2024-05-31T12:00:00+01:00</td><td/><td>Pneumo opt soins intensif resp</td></tr><tr><td style="white-space:nowrap">SM92<a name="TRE-R38-SpecialiteOrdinale-SM92"> </a></td><td>Psychiatrie option enfant et adolescent (SM)</td><td/><td>2023-10-30T12:00:00+01:00</td><td>2024-05-31T12:00:00+01:00</td><td/><td>Psychiatrie opt enfant &amp; ado</td></tr><tr><td style="white-space:nowrap">SM93<a name="TRE-R38-SpecialiteOrdinale-SM93"> </a></td><td>Psychiatrie option psychiatrie de la personne âgée (SM)</td><td/><td>2023-10-30T12:00:00+01:00</td><td>2024-05-31T12:00:00+01:00</td><td/><td>Psychiatrie opt personne âgée</td></tr><tr><td style="white-space:nowrap">SM94<a name="TRE-R38-SpecialiteOrdinale-SM94"> </a></td><td>Radiologie et imagerie médicale opt radio inter av (SM)</td><td/><td>2023-10-30T12:00:00+01:00</td><td>2024-05-31T12:00:00+01:00</td><td/><td>Radio opt intervention avancée</td></tr><tr><td style="white-space:nowrap">SM95<a name="TRE-R38-SpecialiteOrdinale-SM95"> </a></td><td>Santé publique option administration de la santé (SM)</td><td/><td>2023-10-30T12:00:00+01:00</td><td>2024-05-31T12:00:00+01:00</td><td/><td>Santé publique opt admin santé</td></tr><tr><td style="white-space:nowrap">SP01<a name="TRE-R38-SpecialiteOrdinale-SP01"> </a></td><td>Radio-pharmacie (SP)</td><td/><td>2007-07-26T00:00:00+01:00</td><td>2018-03-30T12:00:00+01:00</td><td>2018-03-30T12:00:00+01:00</td><td>Radio-pharmacie</td></tr><tr><td style="white-space:nowrap">SP02<a name="TRE-R38-SpecialiteOrdinale-SP02"> </a></td><td>Hygiène (SP)</td><td/><td>2007-07-26T00:00:00+01:00</td><td>2018-03-30T12:00:00+01:00</td><td>2018-03-30T12:00:00+01:00</td><td>Hygiène</td></tr><tr><td style="white-space:nowrap">SP03<a name="TRE-R38-SpecialiteOrdinale-SP03"> </a></td><td>Pharmacovigilance (SP)</td><td/><td>2007-07-26T00:00:00+01:00</td><td>2018-03-30T12:00:00+01:00</td><td>2018-03-30T12:00:00+01:00</td><td>Pharmacovigilance</td></tr><tr><td style="white-space:nowrap">SP04<a name="TRE-R38-SpecialiteOrdinale-SP04"> </a></td><td>Hémovigilance (SP)</td><td/><td>2007-07-26T00:00:00+01:00</td><td>2018-03-30T12:00:00+01:00</td><td>2018-03-30T12:00:00+01:00</td><td>Hémovigilance</td></tr></table></div>
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      <valueDateTime value="2007-07-26T00:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SCD02"/>
    <display value="Chirurgie orale (SCD)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Chirurgie orale"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2012-03-19T00:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SCD03"/>
    <display value="Médecine bucco-dentaire (SCD)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Médecine bucco-dentaire"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2012-03-19T00:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SI01"/>
    <display value="Exercice infirmier en pratique avancée pathologies chroniques stabilisées (SI)"/>
    <definition value="Exercice infirmier autorisé en pratique avancée pour les pathologies chroniques stabilisées.  La notion de spécialité ordinale a été introduite sachant qu'il est nécessaire de distinguer l'exercice d'IPA de celui d'infirmier et que le diplôme ne suffit  pas pour autoriser l'exercice d'IPA. Il faut 3 ans de pratique infirmière pour pouvoir exercer comme IPA; mais le cursus d'IPA peut être accessible dans le prolongement du DE d'infirmier.  Un IPA peut exercer des activités d'IPA dans plusieurs spécialités, mais aussi, plus fréquemment cumuler des activités d'IPA et d'activité d'infirmier polyvalent du niveau du DE Infirmier."/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="IPA pathologies chroniques"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2019-10-25T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2020-03-30T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SI02"/>
    <display value="Exercice infirmier en pratique avancée oncologie et hémato-oncologie (SI)"/>
    <definition value="Exercice infirmier autorisé en pratique avancée en oncologie et hémato-oncologie  La notion de spécialité ordinale a été introduite sachant qu'il est nécessaire de distinguer l'exercice d'IPA de celui d'infirmier et que le diplôme ne suffit  pas pour autoriser l'exercice d'IPA. Il faut 3 ans de pratique infirmière pour pouvoir exercer comme IPA; mais le cursus d'IPA peut être accessible dans le prolongement du DE d'infirmier.  Un IPA peut exercer des activités d'IPA dans plusieurs spécialités, mais aussi, plus fréquemment cumuler des activités d'IPA et d'activité d'infirmier polyvalent du niveau du DE Infirmier."/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="IPA oncologie"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2019-10-25T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2020-03-30T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SI03"/>
    <display value="Exercice infirmier en pratique avancée maladie rénale chronique (SI)"/>
    <definition value="Exercice infirmier autorisé en pratique avancée en maladie rénale. chronique, dialyse et transplantation rénale. La notion de spécialité ordinale a été introduite sachant qu'il est nécessaire de distinguer l'exercice d'IPA de celui d'infirmier et que le diplôme ne suffit  pas pour autoriser l'exercice d'IPA. Il faut 3 ans de pratique infirmière pour pouvoir exercer comme IPA; mais le cursus d'IPA peut être accessible dans le prolongement du DE d'infirmier.  Un IPA peut exercer des activités d'IPA dans plusieurs spécialités, mais aussi, plus fréquemment cumuler des activités d'IPA et d'activité d'infirmier polyvalent du niveau du DE Infirmier."/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="IPA maladie rénale"/>
    </designation>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Exercice infirmier en pratique avancée maladie rénale chronique, dialyse et transplantation rénale (SI)"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2019-10-25T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2020-03-30T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SI04"/>
    <display value="Exercice infirmier en pratique avancée santé mentale (SI)"/>
    <definition value="Exercice infirmier autorisé en pratique avancée en santé mentale. La notion de spécialité ordinale a été introduite sachant qu'il est nécessaire de distinguer l'exercice d'IPA de celui d'infirmier et que le diplôme ne suffit  pas pour autoriser l'exercice d'IPA. Il faut 3 ans de pratique infirmière pour pouvoir exercer comme IPA; mais le cursus d'IPA peut être accessible dans le prolongement du DE d'infirmier.  Un IPA peut exercer des activités d'IPA dans plusieurs spécialités, mais aussi, plus fréquemment cumuler des activités d'IPA et d'activité d'infirmier polyvalent du niveau du DE Infirmier."/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="IPA santé mentale"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2019-10-25T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2020-03-30T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SI05"/>
    <display value="Exercice infirmier en pratique avancée urgences (SI)"/>
    <definition value="Le décret n°2021-1384 du 25 octobre 2021 relatif à l'exercice en pratique avancée de la profession d'infirmiers (IPA) dans le domaine d'intervention des urgences a inscrit les « urgences » comme nouveau domaine d'intervention de l'infirmier en pratique avancé. C'est le 5e domaine d'exercice des IPA ainsi acté (après pathologies chroniques stabilisées ; oncologie et hémato-oncologie ; maladie rénale chronique, dialyse et transplantation rénale ; santé mentale)."/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="IPA urgences"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2022-08-26T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-10-30T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM01"/>
    <display value="Anatomie et Cytologie pathologiques (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Anatomie, Cyto pathologiques"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM02"/>
    <display value="Anesthésie-réanimation (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Anesthésie-réanimation"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM03"/>
    <display value="Biologie médicale (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Biologie médicale"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2015-12-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM04"/>
    <display value="Cardiologie et Maladies vasculaires (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Cardio et Maladies vasculaires"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM05"/>
    <display value="Chirurgie générale (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Chirurgie générale"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM06"/>
    <display value="Chirurgie maxillo-faciale (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Chir maxillo-faciale"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-02-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM07"/>
    <display value="Chirurgie maxillo-faciale et Stomatologie (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Chir maxillo-fac, Stomatologie"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM08"/>
    <display value="Chirurgie orthopédique et Traumatologie (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Chir orthop, Traumatologie"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM09"/>
    <display value="Chirurgie infantile (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Chirurgie infantile"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM10"/>
    <display value="Chirurgie plastique reconstructrice et esthétique (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Chir plast reconstr, esthétiq"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM11"/>
    <display value="Chirurgie thoracique et cardio-vasculaire (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Chir thoraciq, cardio-vascul"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM12"/>
    <display value="Chirurgie urologique (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Chir urologique"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-02-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM13"/>
    <display value="Chirurgie vasculaire (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Chir vasculaire"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-02-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM14"/>
    <display value="Chirurgie viscérale et digestive (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Chir viscérale, digestive"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM15"/>
    <display value="Dermatologie et Vénéréologie (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Dermatologie, Vénéréologie"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM16"/>
    <display value="Endocrinologie et Métabolisme (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Endocrinologie, Métabolisme"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM17"/>
    <display value="Génétique médicale (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Génétique médicale"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-02-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM18"/>
    <display value="Gériatrie (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Gériatrie"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-02-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM19"/>
    <display value="Gynécologie médicale (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Gynécologie médicale"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-02-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM20"/>
    <display value="Gynécologie-obstétrique (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Gynécologie-obstétrique"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM21"/>
    <display value="Hématologie (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Hématologie"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-02-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM22"/>
    <display value="Hématologie, option Maladie du sang (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Hématologie, opt Maladie sang"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM23"/>
    <display value="Hématologie, option Onco-hématologie (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Hématologie, opt Onco-hématol"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM24"/>
    <display value="Gastro-entérologie et Hépatologie (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Gastro-entéro, Hépatologie"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM25"/>
    <display value="Médecine du travail (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Médecine du travail"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-02-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM26"/>
    <display value="Qualifié en Médecine générale (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Qualifié MG"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-10-08T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM27"/>
    <display value="Médecine interne (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Médecine interne"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-02-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM28"/>
    <display value="Médecine nucléaire (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Médecine nucléaire"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-02-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM29"/>
    <display value="Médecine physique et de réadaptation (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Médecine physique, réadapt"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM30"/>
    <display value="Néphrologie (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Néphrologie"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-02-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM31"/>
    <display value="Neuro-chirurgie (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Neuro-chirurgie"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-02-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM32"/>
    <display value="Neurologie (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Neurologie"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-02-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM33"/>
    <display value="Neuro-psychiatrie (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Neuro-psychiatrie"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-02-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM34"/>
    <display value="ORL et Chirurgie cervico-faciale (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="ORL, Chir cervico-faciale"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM35"/>
    <display value="Oncologie, option Onco-hématologie (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Oncologie, opt Onco-hématolog"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM36"/>
    <display value="Oncologie, option médicale (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Oncologie, opt médicale"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM37"/>
    <display value="Oncologie, option radiothérapie (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Oncologie, opt radiothérapie"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM38"/>
    <display value="Ophtalmologie (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Ophtalmologie"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-02-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM39"/>
    <display value="Oto-rhino-laryngologie (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="ORL"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-02-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM40"/>
    <display value="Pédiatrie (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Pédiatrie"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-02-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM41"/>
    <display value="Pneumologie (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Pneumologie"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-02-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM42"/>
    <display value="Psychiatrie (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Psychiatrie"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-02-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM43"/>
    <display value="Psychiatrie, option enfant et adolescent (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Psychiatrie, opt enfant et ado"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM44"/>
    <display value="Radio-diagnostic (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Radio-diagnostic"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-02-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM45"/>
    <display value="Radio-thérapie (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Radio-thérapie"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-02-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM46"/>
    <display value="Médecine intensive-réanimation (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Médecine intensive-réanimation"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2018-01-26T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM47"/>
    <display value="Recherche médicale (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Recherche médicale"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-02-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM48"/>
    <display value="Rhumatologie (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Rhumatologie"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-02-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM49"/>
    <display value="Santé publique et Médecine sociale (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Santé publique, Méd sociale"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM50"/>
    <display value="Stomatologie (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Stomatologie"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-02-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM51"/>
    <display value="Gynéco-obstétrique et Gynéco-médicale, option Gynéco-obstétrique (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Gyn-obs, Gyn-méd, opt Gyn-obs"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM52"/>
    <display value="Gynéco-obstétrique et Gynéco-médicale, option Gynéco-médicale (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Gyn-obs, Gyn-méd, opt Gyn-méd"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM53"/>
    <display value="Spécialiste en Médecine générale (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Spécialiste MG"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T00:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-10-08T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM54"/>
    <display value="Médecine générale (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Médecine générale"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2008-06-16T00:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-10-08T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM55"/>
    <display value="Radio-diagnostic et Radio-thérapie (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Radio-diag, Radio-thérapie"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2008-10-08T00:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM56"/>
    <display value="Chirurgie orale (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Chirurgie orale"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2016-04-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-04-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM57"/>
    <display value="Allergologie (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Allergologie"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2018-03-30T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2018-03-30T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM58"/>
    <display value="Maladies infectieuses et tropicales (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Maladies infect. et tropicales"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2018-03-30T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2018-03-30T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM59"/>
    <display value="Médecine d'urgence (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Médecine d'urgence"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2018-03-30T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2018-03-30T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM60"/>
    <display value="Médecine légale et expertises médicales (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Médecine légale &amp; expert. méd."/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2018-03-30T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2018-03-30T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM61"/>
    <display value="Médecine vasculaire (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Médecine vasculaire"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2018-03-30T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2018-03-30T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM62"/>
    <display value="Endocrinologie, diabétologie, nutrition (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Endocrino-diabéto-nutrition"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2018-09-28T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2019-04-26T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM63"/>
    <display value="Biologie médicale option biologie générale (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Bio méd opt biologie générale"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2019-02-22T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2019-02-22T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM64"/>
    <display value="Biologie médicale option médecine moléculaire, génétique et pharmacologie (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Bio méd opt méd molé géné phar"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2019-02-22T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2019-02-22T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM65"/>
    <display value="Biologie médicale option hématologie et immunologie (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Bio méd opt hémato et immuno"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2019-02-22T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2019-02-22T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM66"/>
    <display value="Biologie médicale option agents infectieux (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Bio méd opt agents infectieux"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2019-02-22T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2019-02-22T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM67"/>
    <display value="Biologie médicale option biologie de la reproduction (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Bio méd opt bio reproduction"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2019-02-22T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2019-02-22T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM68"/>
    <display value="Chirurgie maxillo-faciale (réforme 2017) (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Chir maxillo-faciale (2017)"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2019-02-22T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2019-02-22T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM69"/>
    <display value="Chirurgie pédiatrique option chirurgie viscérale pédiatrique (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Chir pédia opt chir visc pédia"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2019-02-22T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2019-02-22T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM70"/>
    <display value="Chirurgie pédiatrique option orthopédie pédiatrique (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Chir pédia opt orthopéd pédia"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2019-02-22T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2019-02-22T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM71"/>
    <display value="Hématologie (réforme 2017) (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Hématologie (2017)"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2019-02-22T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2019-02-22T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM72"/>
    <display value="Médecine interne et immunologie clinique (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Méd interne et immuno clinique"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2019-02-22T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2019-02-22T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM73"/>
    <display value="Médecine cardiovasculaire (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Médecine cardiovasculaire"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-10-30T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-10-30T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM74"/>
    <display value="Radiologie imagerie médicale (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Radiologie &amp; imagerie médicale"/>
    </designation>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Radiologie et imagerie médicale (SM)"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-10-30T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2024-05-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM75"/>
    <display value="Santé publique (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Santé publique"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-10-30T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-10-30T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM76"/>
    <display value="Anesthésie-réanimation opt anesthésie-pédiatrique (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Anesth-réanim opt anesth-pédia"/>
    </designation>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Anesthésie-réanimation option anesthésie-pédiatrique (SM)"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-10-30T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2024-05-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM77"/>
    <display value="Chirurgie maxillo-faciale opt orthod dysmo max-fac (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Chir max-fac opt orthod dysmo"/>
    </designation>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Chirurgie maxillo-faciale option orthodontie des dysmorphies maxillo-faciales (SM)"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-10-30T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2024-05-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM78"/>
    <display value="Chirurgie viscérale et digestive opt endo chir (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Chir visc &amp; dig opt endos chir"/>
    </designation>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Chirurgie viscérale et digestive option endoscopie chirurgicale (SM)"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-10-30T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2024-05-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM79"/>
    <display value="Méd cardiovasculaire opt card interventionnelle (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Méd cardio opt cardio interv"/>
    </designation>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Médecine cardiovasculaire option cardiologie interventionnelle (SM)"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-10-30T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2024-05-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM80"/>
    <display value="Méd cardiovasculaire opt imagerie cardio d'expert (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Méd cardio opt img cardio exp"/>
    </designation>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Médecine cardiovasculaire option imagerie cardio d'expert (SM)"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-10-30T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2024-05-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM81"/>
    <display value="Méd cardiovasculaire opt rythmo inter stimu card (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Méd cardio opt ryth int &amp; stim"/>
    </designation>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Médecine cardiovasculaire option rythmologie interventionnelle et stimulation cardiaque (SM)"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-10-30T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2024-05-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM82"/>
    <display value="Médecine intensive-réanimation opt réa pédiatrique (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Méd intens opt réa pédiatrique"/>
    </designation>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Médecine intensive-réanimation option réanimation pédiatrique (SM)"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-10-30T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2024-05-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM83"/>
    <display value="Néphrologie option soins intensifs néphrologiques (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Néphro opt soins intens néphro"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-10-30T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2024-05-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM84"/>
    <display value="Neurologie opt trait interv ischémie céréb aigüe (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Neuro opt trait ischémie céréb"/>
    </designation>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Neurologie option traitement interventionnel de l'ischémie cérébrale aigüe (SM)"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-10-30T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2024-05-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM85"/>
    <display value="Ophtalmologie opt chir ophtalmopéd strabologique (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Ophtalmo opt chir péd &amp; strabo"/>
    </designation>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Ophtalmo option chirurgie ophtalmopédiatrique et strabologique (SM)"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-10-30T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2024-05-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM86"/>
    <display value="ORL - chir cervico-faciale opt audiophonologie (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="ORL &amp; chir c-f opt audiophono"/>
    </designation>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="ORL et chirurgie cervico-faciale option audiophonologie (SM)"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-10-30T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2024-05-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM87"/>
    <display value="Pédiatrie option néonatologie (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Pédiatrie opt néonatologie"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-10-30T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2024-05-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM88"/>
    <display value="Pédiatrie option neuropédiatrie (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Pédiatrie opt neuropédiatrie"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-10-30T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2024-05-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM89"/>
    <display value="Pédiatrie option pneumopédiatrie (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Pédiatrie opt pneumopédiatrie"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-10-30T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2024-05-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM90"/>
    <display value="Pédiatrie option réanimation pédiatrique (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Pédiatrie opt réa pédiatrique"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-10-30T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2024-05-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM91"/>
    <display value="Pneumologie option soins intensifs respiratoires (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Pneumo opt soins intensif resp"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-10-30T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2024-05-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM92"/>
    <display value="Psychiatrie option enfant et adolescent (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Psychiatrie opt enfant &amp; ado"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-10-30T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2024-05-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM93"/>
    <display value="Psychiatrie option psychiatrie de la personne âgée (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Psychiatrie opt personne âgée"/>
    </designation>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Psychiatrie option psychiatrie personne âgée (SM)"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-10-30T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2024-05-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM94"/>
    <display value="Radiologie et imagerie médicale opt radio inter av (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Radio opt intervention avancée"/>
    </designation>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Radiologie imagerie médicale option radiologie interventionnelle avancée (SM)"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-10-30T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2024-05-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SM95"/>
    <display value="Santé publique option administration de la santé (SM)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Santé publique opt admin santé"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-10-30T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2024-05-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="SP01"/>
    <display value="Radio-pharmacie (SP)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Radio-pharmacie"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T00:00:00+01:00"/>
    </property>
    <property>
      <code value="dateFin"/>
      <valueDateTime value="2018-03-30T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2018-03-30T12:00:00+01:00"/>
    </property>
    <property>
      <code value="deprecationDate"/>
      <valueDateTime value="2018-03-30T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="deprecated"/>
    </property>
  </concept>
  <concept>
    <code value="SP02"/>
    <display value="Hygiène (SP)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Hygiène"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T00:00:00+01:00"/>
    </property>
    <property>
      <code value="dateFin"/>
      <valueDateTime value="2018-03-30T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2018-03-30T12:00:00+01:00"/>
    </property>
    <property>
      <code value="deprecationDate"/>
      <valueDateTime value="2018-03-30T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="deprecated"/>
    </property>
  </concept>
  <concept>
    <code value="SP03"/>
    <display value="Pharmacovigilance (SP)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Pharmacovigilance"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T00:00:00+01:00"/>
    </property>
    <property>
      <code value="dateFin"/>
      <valueDateTime value="2018-03-30T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2018-03-30T12:00:00+01:00"/>
    </property>
    <property>
      <code value="deprecationDate"/>
      <valueDateTime value="2018-03-30T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="deprecated"/>
    </property>
  </concept>
  <concept>
    <code value="SP04"/>
    <display value="Hémovigilance (SP)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Hémovigilance"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T00:00:00+01:00"/>
    </property>
    <property>
      <code value="dateFin"/>
      <valueDateTime value="2018-03-30T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2018-03-30T12:00:00+01:00"/>
    </property>
    <property>
      <code value="deprecationDate"/>
      <valueDateTime value="2018-03-30T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="deprecated"/>
    </property>
  </concept>
</CodeSystem>